Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 113

Copy url
Copy url

Independent Duty Medical Technicians Providers

NPI Name Type Address

1063490613

MRS. Yolander Douglas

Individual

Nhcp, Bldg H100, Santa Margarita Rd, Att: Code 094

Camp Pendleton, CA

1023085883

MR. MA Anthony Petrone JR.

Individual

140 Sylvester Rd

San Diego, CA

1851368229

MR. IDC Carlos M. Coleman

Individual

34101 Farenholt Ave

Nshs-sd Idc Dept

San Diego, CA

1730157736

MR. IDC Alfredo Alcalaesparza

Individual

2211 Pacific Beach Dr

San Diego, CA

1932169380

Shirley Hovlid

Individual

2650 Stockton Rd

San Diego, CA

1649223942

IDC Aaron C Zale

Individual

101 W Marquita

San Clemente, CA

1396883567

HS1 Robert Theodore Kulbeth

Individual

599 Tomales Rd

Petaluma, CA

1467674150

MR. IDCDMT John Dudley Harris JR.

Individual

33000 Nixie Way Bldg 50

San Diego, CA

1336350396

Eric Clay Suwyn

Individual

5051 Rodeo Rd

Los Angeles, CA

1740481571

IDC Cindy S Cruzan

Individual

34101 Farenholt Ave

San Diego, CA

1396947651

Orlando L Mayo

Individual

599 Tomales Rd

Ralph R. Nix Clinic

Petaluma, CA

1689873192

IDC Keith Robert Davis

Individual

140 Sylvester Rd

Uss Topeka (ssn 754) Fpo Ap 96679-2410

San Diego, CA

1154520252

MR. CST Brion Louis Dixon

Individual

1520 Sand Hill Rd Apt 212

Palo Alto, CA

1497927404

MS. IDC Keren Mireya Lemas

Individual

2450 Craven St

San Diego, CA

1679732143

HEALTH SERVICES TECH Larry W. Payne

Individual

599 Tomales Rd

Petaluma, CA

1003885427

MR. IDC Ryan Stephen Hildebrand

Individual

Bldg 3005

S R 108

Bridgeport, CA

1538302823

IDMT James Thomas Feldhausen

Individual

15301 Warren Shingle Rd

Beale Afb, CA

1396988408

IDMT Brian M Ritchie

Individual

15301 Warren Shingle Rd

Beale Afb, CA

1518191758

IDMT Kory Rivera

Individual

101 Bodin Cir

Travis Afb, CA

1649404807

MR. IDMT Kevin Lionel St Patrick Moore

Individual

101 Bodin Cir

Sgpf

Travis Afb, CA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

Copy url
Taxonomy Code 1710I1003X
Specialization Independent Duty Medical Technicians
Display Name Independent Duty Medical Technicians
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Effective Date September 30, 2009
Copy url

Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Military Health Care Provider

171000000X • providers: 1,689